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Individual
LARRY WEINERMAN
Active
Individual
LARRY WEINERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC 2
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
94-10-141
OR
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
03/30/2012
Last updated
04/06/2017
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